3rd INTERNATIONALIBOGAINE PROVIDER’S     CONFERENCE      October 2nd to 6th  VANCOUVER - CANADA  Dr. Miguel Angel Bianucci...
CONCEPTUALIZATION ABOUT    TREATING ADDICTS The Traumas we experience in our life appear like  something unreal, out of t...
 If we do not process a trauma, there will be  consequences, especially anxiety disorders. Symptoms lead people to seek ...
DEFENSE MECHANISMS After repeated failures and disappointments trying to  maintain apparent control of the situation, the...
WHAT IS A TRAUMA?from Neurophysiology
NEURONAL NETWORK             Dr. Miguel Angel Bianucci
WHAT IS THE NORMALNEUROPHYSIOLOGY OF SURVIVAL?                     Dr. Miguel Angel Bianucci
WHAT IS THE NEUROCHEMICAL    OF HOMEOSTASIS?                    Dr. Miguel Angel Bianucci
DYSFUNCTIONAL  DEFENSIVE STRATEGIES A traumatized person can develop dysfunctional  strategies intended to alleviate psyc...
WHAT IS AN ADDICT?
DRUG ADDICTION Drug addiction is an illness that comes from  consumption or addictive behaviors that affect the brain  in...
WHEN IS SOMEONEADDICTED TO SOMETHING? An addict is someone who can not stop consuming legal or  illegal substances Peopl...
DRUGS AND NERVOUS         SYSTEM Drugs provoke reactions in our bodies, basically in the  central nervous system, which i...
Gym addiction                 Shopping addiction                                          Gambling addiction              ...
ABSTINENCE AND         ADDICTIONSAbstinence is a syndrome for each specific psychoactivesubstance and/or compulsive behavi...
HOW IS THE ADDICT’S       LIFE AFFECTED? In addition to individual problems, it will affect the  relationships with the  ...
VICIOUS CIRCLEThe victim of trauma enters a vicious circle:           Emotional and           psychological           pain...
WHAT DO ADDICTION TO DRUGS AND BEHAVIORALADDICTION HAVE IN COMMON        COMPULSION Uncontrollable, irrational and egodyst...
NEO HOMEOSTASISWhat adds up in the development         of the person  to configure an eager brain?     THE PERSON SAYS:   ...
BRAIN FUNCTIONS• Regulation (and self-regulation)• Adaptation• Integration                                     Dr. Miguel ...
Evolution of the brainPaul MacLean, a neuroscientist (1970)wrote about a brain model. In it, heemphasizes that there are t...
NEO HOMEOSTASIS             Dr. Miguel Angel Bianucci
AUTOMATIC RESPONSE       MECHANISMS When the frontal lobe is inactive, we always choose what  we know We think we choose...
THE IMPORTANT FUNCTION   OF THE FRONTAL LOBE The frontal lobe is the one that inhibits casual behavior and  controls impu...
FRONTAL LOBE             FUNCTIONS Our repetitive, predictable emotional responses, the  ones that make us addicts, are a...
BRAIN EVOLUTION• Three different brains controlling the same body.• The three have continued to evolve, but not  independe...
FRONTAL LOBE            DEVELOPMENT The frontal lobe development continues throughout  adolescence and approximately up t...
THE ROLE OF          PSYCHOTHERAPY The work of psychotherapy is to put words to these early  wounds (traumas). Those word...
DIFFICULTIES   TO START A TREATMENT• Patient characteristics: Being evasive. ignorance or disbelief that someone   can hel...
EVOLUTION    OF A DRUG ADDICTImprovement                          Relapse              TREATMENT                          ...
EVOLUTION WITH IBOGAINE                  Dr. Miguel Angel Bianucci
INTEGRATION OF TREATMENTS    TO STOP IMPERATIVE CRAVING                             1. Psychoeducation                    ...
ELECTROMAGNETIC BED     Design: Dr. Miguel Angel Bianucci
DIFFICULTIES TO BE AN IBOGAINE PROVIDER
FIRST: Difficulties in Argentina•   The policy of ignorance from health authorities and physicians.    They say „No‟ to al...
SECOND: Difficulties to obtaining Ibogaine. Who supplies the medicine?•   In September 2006, a friend tells me that a medi...
•   Suddenly I find Karl (who I believe to be Karl Naeger) also online.    He sold me two grams of Ibogaine with a Certifi...
THIRD: Challenges of training in Ibogaine treatment•   Which interdisciplinary medical team and laboratory are needed?•   ...
•   In 2008 I finally get to know Ibogaine‟s network. I learn about the recent    death of Dr. Howard Lotsof. I meet sever...
FOURTH: Current situation and statistics in Argentina•   Consumption of cocaine base, marijuana and inhalable drugs has at...
FIFTH: Perspectives to implement Ibogaine‟s treatments in LATAM•   There are millions of addicts in the region!!!•   How d...
SIXTH: Legality or illegality. Let‟s gather our efforts.•   This is the dichotomy in which we are immersed.•   Ibogaine do...
I look forward to working with you        on these challenges.
THANK YOU!!     see you soon!questions, comments or suggestions   Dr. Miguel Angel Bianucci         mabianucci@gmail.com
October 2 - Miguel Angel Bianucci
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October 2 - Miguel Angel Bianucci

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October 2 - Miguel Angel Bianucci

  1. 1. 3rd INTERNATIONALIBOGAINE PROVIDER’S CONFERENCE October 2nd to 6th VANCOUVER - CANADA Dr. Miguel Angel Bianucci mabianucci@gmail.com
  2. 2. CONCEPTUALIZATION ABOUT TREATING ADDICTS The Traumas we experience in our life appear like something unreal, out of the ordinary. Our brain makes Traumas meaningless so we don‟t integrate them in our daily lives. The brain, like a computer, doesn‟t know where to store them. We need to talk, give words to Traumas to it to be able to work with them. Dr. Miguel Angel Bianucci
  3. 3.  If we do not process a trauma, there will be consequences, especially anxiety disorders. Symptoms lead people to seek calm or self-medicate with alcohol, drugs, food, sex, and other addictions. People may also have other psychopathological disorders as depression, sleep disturbances, anger, paranoia, dissociative disorders, etc. Dr. Miguel Angel Bianucci
  4. 4. DEFENSE MECHANISMS After repeated failures and disappointments trying to maintain apparent control of the situation, the feelings of fear, frustration, shame, guilt, resentment, self-pity or anger appear as defense mechanisms. Dr. Miguel Angel Bianucci
  5. 5. WHAT IS A TRAUMA?from Neurophysiology
  6. 6. NEURONAL NETWORK Dr. Miguel Angel Bianucci
  7. 7. WHAT IS THE NORMALNEUROPHYSIOLOGY OF SURVIVAL? Dr. Miguel Angel Bianucci
  8. 8. WHAT IS THE NEUROCHEMICAL OF HOMEOSTASIS? Dr. Miguel Angel Bianucci
  9. 9. DYSFUNCTIONAL DEFENSIVE STRATEGIES A traumatized person can develop dysfunctional strategies intended to alleviate psychological and emotional pain These may consist of self-medication with drugs and / or alcohol, behavioral addictions that affect the brain chemistry or behaviors of overwork, risky sex, gambling, shopping, etc. Dr. Miguel Angel Bianucci
  10. 10. WHAT IS AN ADDICT?
  11. 11. DRUG ADDICTION Drug addiction is an illness that comes from consumption or addictive behaviors that affect the brain in a large number of human beings The character of this illness is its long duration with relapses. Dr. Miguel Angel Bianucci
  12. 12. WHEN IS SOMEONEADDICTED TO SOMETHING? An addict is someone who can not stop consuming legal or illegal substances People can also be an addict without substances, for example: to work, to shop, to the Internet, to talk on a cell phone, to chat, to have sex, to gamble, to food or to the gym In trying to stop this behavior we see that consumption tolerance is high and that the abstinence produced by anxiety induces the person to continue consuming Addiction is an extreme form of compulsive use that puts drugs or inappropriate behaviors at the center of the persons life Dr. Miguel Angel Bianucci
  13. 13. DRUGS AND NERVOUS SYSTEM Drugs provoke reactions in our bodies, basically in the central nervous system, which is the most important and delicate structure humans have. If these substances act on those structures, damaging them, undoubtedly there will be a serious and dangerous element for the person‟s health, but also for the family, the social environment and public health Dr. Miguel Angel Bianucci
  14. 14. Gym addiction Shopping addiction Gambling addiction Internet addiction Food addictionWork addiction Dr. Miguel Angel Bianucci
  15. 15. ABSTINENCE AND ADDICTIONSAbstinence is a syndrome for each specific psychoactivesubstance and/or compulsive behavior It appears whenintake is stopped after regular consumption or fromsuppression of compulsive behavior Dr. Miguel Angel Bianucci
  16. 16. HOW IS THE ADDICT’S LIFE AFFECTED? In addition to individual problems, it will affect the relationships with the family, spouse, partner, parents, siblings, friends, school, college and all work relationships. Addicts do not want to listen to those who advise them, do not see how their lives change. Dr. Miguel Angel Bianucci
  17. 17. VICIOUS CIRCLEThe victim of trauma enters a vicious circle: Emotional and psychological pain Self-medication with drugs, alcohol, foo d, sex, etc. Trying to stop Dr. Miguel Angel Bianucci
  18. 18. WHAT DO ADDICTION TO DRUGS AND BEHAVIORALADDICTION HAVE IN COMMON COMPULSION Uncontrollable, irrational and egodystonic Dr. Miguel Angel Bianucci
  19. 19. NEO HOMEOSTASISWhat adds up in the development of the person to configure an eager brain? THE PERSON SAYS: "I NEED IT NOW" Dr. Miguel Angel Bianucci
  20. 20. BRAIN FUNCTIONS• Regulation (and self-regulation)• Adaptation• Integration Dr. Miguel Angel Bianucci
  21. 21. Evolution of the brainPaul MacLean, a neuroscientist (1970)wrote about a brain model. In it, heemphasizes that there are threestructures that have survived from theprimitive ages:Triune BrainHuman brain: Is a phylogenetic system divided into threefunctional parts (reptile, lower mammal, human) withincreasingly complex skills Dr. Miguel Angel Bianucci
  22. 22. NEO HOMEOSTASIS Dr. Miguel Angel Bianucci
  23. 23. AUTOMATIC RESPONSE MECHANISMS When the frontal lobe is inactive, we always choose what we know We think we choose, but actually we use automatic response mechanisms designed for relief and immediate gratification Dr. Miguel Angel Bianucci
  24. 24. THE IMPORTANT FUNCTION OF THE FRONTAL LOBE The frontal lobe is the one that inhibits casual behavior and controls impulse. It stops us from acting dominated by each and every one of our thoughts, without considering the consequences Dr. Miguel Angel Bianucci
  25. 25. FRONTAL LOBE FUNCTIONS Our repetitive, predictable emotional responses, the ones that make us addicts, are a consequence of the frontal lobe‟s drowsiness. By providing the ability to learn from our mistakes, the frontal lobe has been crucial to our survival and evolution as a species. Dr. Miguel Angel Bianucci
  26. 26. BRAIN EVOLUTION• Three different brains controlling the same body.• The three have continued to evolve, but not independently and sequentially, but the three cooperating hierarchically together• The newer systems, emerging to deal with new challenges of survival, preserve and modify components of the previous systems• Thus these three layers are now interconnected through complex vertical and horizontal neural networks Dr. Miguel Angel Bianucci
  27. 27. FRONTAL LOBE DEVELOPMENT The frontal lobe development continues throughout adolescence and approximately up to age twenty-five Teens think in a decidedly different way than adults At the same time, their amygdala is more active than their higher centers of reasoning The result is clear: they react before they think Dr. Miguel Angel Bianucci
  28. 28. THE ROLE OF PSYCHOTHERAPY The work of psychotherapy is to put words to these early wounds (traumas). Those words come from the person‟s left hemisphere (language center location) Then, words can be felt and understood. Trauma enters the circuit of processing and integrating of feelings, words and bodily sensations. Dr. Miguel Angel Bianucci
  29. 29. DIFFICULTIES TO START A TREATMENT• Patient characteristics: Being evasive. ignorance or disbelief that someone can help. Distrusting, lying about amount consumed or other addictive behaviors• Difficulty in establishing a therapeutic alliance: The patient says yes, but it is not an actual wish. It seems like he/she wants to carry out a treatment, but he/she reserves the right to continue or stop at any time.• The co-morbidity: This is an added difficulty to intoxication or compulsive behavior (addictions without substance). These can be different degrees of dissociation, other anxiety disorders and / or other organic associated pathologies. Dr. Miguel Angel Bianucci
  30. 30. EVOLUTION OF A DRUG ADDICTImprovement Relapse TREATMENT Dr. Miguel Angel Bianucci
  31. 31. EVOLUTION WITH IBOGAINE Dr. Miguel Angel Bianucci
  32. 32. INTEGRATION OF TREATMENTS TO STOP IMPERATIVE CRAVING 1. Psychoeducation 2. Responsibility of saying NOHOW TO STOP IT? 3. Relapse prevention 4. Modify the addictive language 5. Environmental change Increasing serotonin 1. IbogaineThe response to 2. EMDR 3. Electromagnetic bed "I need it now" 4. Systemic therapy 5. Cognitive behavioral therapy Dr. Miguel Angel Bianucci
  33. 33. ELECTROMAGNETIC BED Design: Dr. Miguel Angel Bianucci
  34. 34. DIFFICULTIES TO BE AN IBOGAINE PROVIDER
  35. 35. FIRST: Difficulties in Argentina• The policy of ignorance from health authorities and physicians. They say „No‟ to all innovative therapeutic procedure even if being seriously researched.• Health professionals only accept what is known. They don‟t want to take risks.• All therapeutic innovation has to be approved by international sources, for example, the FDA or first world countries.• There is one exception: Ibogaine has been approved in New Zealand, where it can be prescribed medically (Medsafe). This has proven helpful to fulfill requirements at Health Ministry in my country. I can now officially administer Ibogaine for "compassionate use". Dr. Miguel Angel Bianucci
  36. 36. SECOND: Difficulties to obtaining Ibogaine. Who supplies the medicine?• In September 2006, a friend tells me that a medication to cure addiction exists and is being administered in Israel.• I searched online and find the work of Dr. Lotsof and the Treatment Manual, still valid today. I also find several Ibogaine suppliers.• I find Ben Loenen‟s videos and I get two, one for myself and another to share with colleagues.• I searched for for producers of Ibogaine. Where, who, how much? At this point the external difficulties began. Dr. Miguel Angel Bianucci
  37. 37. • Suddenly I find Karl (who I believe to be Karl Naeger) also online. He sold me two grams of Ibogaine with a Certificate of Analysis No. 355. He asked me: ”Do you have any experience in administering it?” Two grams arrived in a folded envelope at my home.• By the same means, online, I find out that there was another provider in Slovenia. I called him and I had to answer some questions because he wanted to know who I was, he took all the precautions, preventing me from misusing Ibogaine. He gave me a mystical explanation and talked about the client‟s personal growth during treatment. Dr. Miguel Angel Bianucci
  38. 38. THIRD: Challenges of training in Ibogaine treatment• Which interdisciplinary medical team and laboratory are needed?• I received training through the generosity of Claire Wilkins. The experience was fascinating. I had access to all the records and protocols. The procedure lasted seven days, during which I was next to the doctor controlling the patient.• The question that remains is: how do we train future providers?• Again Claire Wilkins generously offered to train future providers of Ibogaine in the region given her experience and quality as a researcher. Only her? Dr. Miguel Angel Bianucci
  39. 39. • In 2008 I finally get to know Ibogaine‟s network. I learn about the recent death of Dr. Howard Lotsof. I meet several treatment providers. It was an enriching and encouraging experience for me.• I meet Bob Sisco. He promotes Remogen.• For example where does Dr. Geoff get Ibogaine in New Zealand?• All these questions I ask you and myself, in order to find out how to expand the Ibogaine so that it doesn‟t stay in a small group of treatment providers. Dr. Miguel Angel Bianucci
  40. 40. FOURTH: Current situation and statistics in Argentina• Consumption of cocaine base, marijuana and inhalable drugs has at least tripled in the city of Buenos Aires and Gran Buenos Aires from 2005 to the present.• In particular, low-income adolescents begin with “paco” (cocaine base paste) as initiation drug.• The paco is composed almost entirely of chemicals or adulterant elements, reinforcing its addictive nature and quick effect. Each dose is intense and its duration short.• Soon, through permanently disabling nerve centers, this drug creates irreversible neurological damages. Loss of reflexes, motor skills, intelligence and even memory.• I wonder and ask you what chance do children under 15 have to be treated with Ibogaine? Which should be the dose? Is there any previous experience? Dr. Miguel Angel Bianucci
  41. 41. FIFTH: Perspectives to implement Ibogaine‟s treatments in LATAM• There are millions of addicts in the region!!!• How do we deal with this epidemic?• The region is the largest cocaine producer. Narcos themselves seek help for relatives who get involved with drugs.• There are clandestine landing strips used by producers of cocaine and base paste. Politicians and authorities look somewhere aside.• It’s necessary to have treatment providers to counteract this epidemic and prevent a lot of suffering in patients who have entered the psychic pain/anxiety/consumption circuit.• I insist: we need easy access to Ibogaine!!! We need officially trained therapeutic teams. This is essential. Dr. Miguel Angel Bianucci
  42. 42. SIXTH: Legality or illegality. Let‟s gather our efforts.• This is the dichotomy in which we are immersed.• Ibogaine doesn‟t exist in Argentina in any form.• We should have statistics: Resolved treatments and negative cases, including fatal cases.• I believe that the research being conducted is to be presented to the FDA for approval. Is it necessary to submit to such a filter? Isn‟t there enough experience from all treatment providers?• Is it possible to lobby health authorities of each country, such as New Zealand did? Dr. Miguel Angel Bianucci
  43. 43. I look forward to working with you on these challenges.
  44. 44. THANK YOU!! see you soon!questions, comments or suggestions Dr. Miguel Angel Bianucci mabianucci@gmail.com

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